Active NPI
Sarah Beatrice Smith
- Acute Care Nurse Practitioner
- Lake Havasu City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP11077
- Practice address
- 1851 Mesquite Ave Ste 210
Lake Havasu City, AZ 86403-5681 - Phone
- (928) 854-7540
- NPI assigned
- Feb 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN166916 | AZ | |
| Acute Care Nurse Practitioner | 363LA2100X | AP11077 | AZ | Primary |
Addresses
Primary practice location
1851 Mesquite Ave Ste 210
Lake Havasu City, AZ 86403-5681
Mailing address
4387 S Heather Ave
Fort Mohave, AZ 86426-6491
Phone (760) 985-8427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 453-3761
1520 E Hammer LN
Suite 101
Fort Mohave, AZ 86426-6665
Phone (928) 854-0094
1851 Mesquite Ave
Lake Havasu City, AZ 86403-5680
1851 Mesquite Ave
Lake Havasu City, AZ 86403-5681
Hospital & facility affiliations
- Valley View Home Health
- River Valley Home Health
- Valley View Medical Center
- Havasu Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HRMC, LLC | Current | Accepting new patients | |
| HRMC, LLC | Current | Accepting new patients | |
| HRMC, LLC | Past | Accepting new patients |
Locations
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
1851 Mesquite Ave
Ste 210
Lk Havasu Cty, AZ 86403
Phone (928) 854-7540
1851 Mesquite Ave
Ste 202
Lk Havasu Cty, AZ 86403
Phone (928) 854-0094
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4
- sarah.smith.1@19231.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Cancer Care of Western Arizona
- Hematology & Oncology Physician
- Lake Havasu City, AZ
- NPI 1003139387
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Valley View Home Health
- Home Health Agency
- Bullhead City, AZ
- NPI 1265979033
-
dba Havasu Regional Medical Center
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
-
dba River Valley Home Health
- Home Health Agency
- Lake Havasu City, AZ
- NPI 1578947842
-
dba Valley View Medical Center
- General Acute Care Hospital
- Fort Mohave, AZ
- NPI 1811086994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521504000000",
"number": "1245739838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4387 S HEATHER AVE",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864266491",
"telephone_number": "760-985-8427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 MESQUITE AVE STE 210",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035681",
"telephone_number": "928-854-7540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SARAH",
"middle_name": "BEATRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-08",
"last_updated": "2018-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "AZ",
"license": "RN166916",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "AP11077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.